Most semaglutide affiliate programs pay you a single time, a one-time CPA or a percentage when your referral first buys, and after that the relationship ends. MedStands pays the other way: a recurring fixed marketing fee of $36 to $260 per active referred customer per month, set by medication category, for as long as that customer stays active, with lifetime attribution and $0 to join. If you want ongoing income rather than a one-off bounty, that structural difference matters more than any single payout figure, so this roundup ranks the field by how you actually get paid, not by whose headline number looks biggest.
A note on sourcing: several programs below do not publish their affiliate terms, so many numbers come from third-party affiliate directories and are marked reported or stale. Where a brand states a figure on its own page, we say so. Where we could not verify one, we say "not disclosed" rather than guess.
At a glance
| Program | Model | When paid | Per active referral | Attribution | Cost to join | Sign-up | Cap | Clinical side |
|---|---|---|---|---|---|---|---|---|
| MedStands | Recurring fixed marketing fee by medication category (not a commission) | Monthly, while active | $36 to $260 per month | Lifetime, account-level (no cookie) | $0 | Same-day link, admin review, no follower minimum | None | Independent licensed providers prescribe; LegitScript-certified pharmacies fulfill and ship |
| TeleWellnessMD | Recurring percentage per sale (brand-stated) | First and all future orders while active | 10% of gross sales | Not disclosed | Not stated | Application | Not stated | Brand-operated |
| UrgentCare.com | Recurring monthly per active member (brand-stated) | Monthly, while active | $15/month, up to $180/year | Not disclosed | Not stated | Agent program | $180/year per referral | Brand-operated (broad telehealth) |
| T2D.com | Recurring monthly per active member (brand-stated) | Monthly, while active | $15/month, up to $180/year | Not disclosed | Not stated | Agent program | $180/year per referral | Brand-operated |
| Yara | One-time bounty plus 5% recurring on renewals (reported) | At sale, plus renewals | ~$100 to $200 per sale (reported; one lists $150) plus 5% on renewals | 60-day cookie (reported) | Not stated (min $100 payout, reported) | Ambassador program | Not stated | Brand-operated |
| Zealthy | One-time CPA via Katalys network | Once, at conversion | $50 to $400 (reported by Katalys, not brand-confirmed) | Not disclosed for Zealthy | Not stated | Network/approval | Not stated | Brand-operated |
| LifeMD | One-time CPA | Once | ~$115 (reported, listing expired 2024; not brand-confirmed) | ~24-hour window (reported) | Not stated | Network/approval | Not stated | Brand-operated |
| Mochi Health | One-time CPA (affiliate/partner tiers) | Once | "Competitive payouts"; ~$80 reported but listing expired (2024), treat as stale | Not disclosed | Not stated | Apply/approval | Not stated | Brand-operated |
| Nurx | Shifted over time: per-sale, then CPC, then tested CPL | Per model (CPC pays per click) | CPC $0.50 to $1.00 by partner level (case study); older per-sale figures likely stale | ~30-day reported (some 7-day); not brand-confirmed | Not stated | Network | Not stated | Brand-operated |
| GoodRx | One-time CPA per valid/filled prescription (via networks) | Once, per valid Rx | ~$10 per valid Rx (reported, inconsistent); min payout $50 | Not disclosed for main program (7-day on one offer listing) | Not stated | Network | Not stated | Prescription discount platform |
| MangoRx | Percentage per sale via network | Once, per sale | ~20% reported (not brand-confirmed; the Nasdaq "20%" is a revenue expectation, not a rate) | Not officially disclosed (one listing 30-day) | Not stated | Approval-based | Not stated | Brand-operated |
| SoWell | Hybrid one-time: 15% on orders plus flat CPA on subscriptions (brand-stated) | Once | 15% one-time; subscriptions $15 (1), $20 (2), $25 (3+) | Not disclosed | Not stated | Application | Not stated | Brand-operated |
| Teladoc | Affiliate page exists (reported one-time CPA/CPL); broad telehealth | Once (reported) | "Competitive commissions," no figures; aggregator numbers conflict | Not disclosed | Not stated | Application | Not stated | Brand-operated |
Two of the "programs" people find when searching are actually customer refer-a-friend credits, not affiliate programs you join to earn: Mochi Health's reported $40 for the referrer and $40 off the friend's first month, and Teladoc's $20 Amazon gift card per valid referral (up to $500 per year, per its own terms). Those reward existing customers, not partners building an income stream.
The math: recurring monthly vs one-time
A one-time CPA rewards the single moment of signup. A recurring fee rewards retention, every month the customer stays. The mechanics compound in an obvious way: a customer who stays active for a year earns a monthly fee twelve times under a recurring model, versus once under a CPA. So a large one-time number (a reported $50 to $400 at Zealthy, a reported ~$115 at LifeMD) can still be outpaced over time by a modest fee that repeats.
MedStands sits firmly on the recurring side. The fee is not a commission, a percentage, or a cut of sales. It is a fixed marketing fee set in advance by medication category, in the range of $36 to $260 per active customer per month. The honest caveat: recurring only wins if referrals qualify and stay active. Every request is reviewed by an independent licensed provider, and not everyone qualifies, so your real earnings depend on how many referred people qualify and remain active. We keep the number qualitative beyond that stated per-customer range. For a fuller walk-through, see how much you can earn referring in telehealth.
A few competitors do include a recurring element. TeleWellnessMD pays a brand-stated 10% of gross sales on a patient's first and future orders while they stay active. UrgentCare.com and its sibling T2D.com pay a brand-stated $15 per month per active member (up to $180 per year per referral). Yara pairs a reported per-sale bounty with a reported 5% recurring commission on renewals. Those are worth a look if recurring pay is your priority.
Attribution: lifetime binding vs a cookie
The second thing that separates these programs is how long a referral "counts." Most affiliate programs track referrals with a cookie that expires. Where windows are disclosed or reported, they are short: a reported ~24 hours for LifeMD, ~30 days for Nurx and Zealthy (per directories), a reported 60 days for Yara, and a 7-day window on one specific GoodRx offer listing. If the customer clears cookies, switches devices, or converts after the window closes, the credit can be lost. Many programs here, including Mochi, MangoRx, SoWell, UrgentCare.com, and Teladoc, do not disclose a window at all.
MedStands uses no expiring cookie. The referred customer or business is bound to your account at signup and stays tied to you at the account level for life. That is why the recurring fee can keep paying: the attribution does not lapse. For the full mechanics, see how lifetime referral attribution works.
The programs, grouped by how they pay
Built for recurring income
MedStands (the standout for ongoing pay). Recurring fixed marketing fee of $36 to $260 per active customer per month, by medication category, paid monthly for as long as the customer stays active, with lifetime attribution, $0 to join, and no cap. Best fit: anyone who wants income that rewards retention, and businesses or creators who would rather build a monthly book than chase one-off bounties.
TeleWellnessMD. Brand-stated 10% of gross sales on a referred patient's first and all future orders while they remain active. A genuine recurring percentage. Best fit: audiences likely to reorder, where a percentage of ongoing spend adds up.
UrgentCare.com and T2D.com. Both brands' agent pages state $15 per month per active member, up to $180 per year per referral, recurring while the member stays active. Note these are broad telehealth, not GLP-1-specific. Best fit: general telehealth referrals rather than a focused semaglutide audience.
Yara. Reported per-sale bounty of roughly $100 to $200 (one directory lists $150) plus a reported 5% recurring commission on renewals, on a reported 60-day cookie. The brand's own page was unreachable during research, so treat figures as reported. Best fit: those who want an upfront bounty with a small recurring tail.
One-time CPA and percentage programs
Zealthy. One-time CPA via the Katalys network, reported at $50 to $400 per conversion (Katalys's own listed range, not confirmed by Zealthy). Best fit: a single campaign where a larger lump sum at signup is the goal.
LifeMD. One-time CPA, reported at roughly $115 for its medical weight program, though that directory listing is marked expired (2024) and is not brand-confirmed; a ~24-hour tracking window is reported. Best fit: a one-off promotion to an audience that converts quickly.
Mochi Health. One-time CPA with affiliate and partner tiers. The brand advertises only "competitive payouts"; a directory reported ~$80 one-time, but that listing is expired (2024), so treat it as stale. Best fit: those comfortable applying to learn terms after the fact.
Nurx. Its model has genuinely shifted over time, from per-sale to cost-per-click to a tested cost-per-lead. An agency case study documents CPC of $0.50 to $1.00 by partner level; older per-sale and percentage figures in directories are likely stale. Best fit: high-traffic publishers who can monetize clicks or leads.
GoodRx. One-time CPA per valid or filled prescription, run through networks. Reported around $10 per valid prescription, though aggregators are inconsistent and some list it as unknown; minimum payout reported at $50, paid monthly. Best fit: large-volume audiences where many small payouts accumulate.
MangoRx. Percentage per sale, reported around 20% by directories and not brand-confirmed. Note the "20%" in the company's Nasdaq release refers to an expected share of overall revenue, not an affiliate commission rate. Best fit: approved affiliates comfortable with a percentage model.
SoWell. A hybrid one-time payout the brand does state: 15% commission on one-time orders, plus a flat one-time bounty on new subscriptions of $15 (one product), $20 (two products), or $25 (three or more). Bundles count as a single product. Best fit: product-led audiences buying one-time orders.
Teladoc. An affiliate page exists (reported one-time CPA or CPL), but it lists only "competitive commissions" with no figures, and aggregator numbers conflict, so none should be trusted. Broad telehealth, not GLP-1-specific. Best fit: general telehealth audiences.
Where a one-time or percentage program may be a fit
None of these programs is a bad choice in the abstract; they simply solve a different problem. If you are running a single burst campaign, want the largest possible lump sum at the moment of signup, and are comfortable with a short or undisclosed cookie, a one-time CPA like Zealthy or LifeMD (as reported) can suit that goal well. If your audience buys one-time products, SoWell's stated 15% fits cleanly. And a customer credit like Mochi's or Teladoc's is a fine perk to hand existing customers, just not an income program. The trade-off is simply that when the customer sticks around, a one-time model does not pay again.
Common questions
Which semaglutide affiliate program pays recurring income?
MedStands is the clearest recurring option here, with a fixed monthly fee per active customer and lifetime attribution. TeleWellnessMD (10% recurring), UrgentCare.com and T2D.com ($15 per month per active member), and Yara (5% on renewals) include recurring elements too. Most other programs on this list pay one time.
Do I need a medical license, inventory, or a pharmacy to join MedStands?
No. Independent licensed providers do the prescribing and licensed, LegitScript-certified pharmacies handle fulfillment, refills, and shipping. MedStands is not a medical practice and does not prescribe. As a partner or affiliate you refer, hold no inventory, and do no clinical work. If you want the plain-English version, see what a telehealth partner program is.
What does it cost to join, and is there a cap?
MedStands is $0 to join, with no cap on referrals or earnings. Your link is live the same day, an admin reviews the account, and there is no follower or audience-size minimum. Several competitor programs are approval-based and do not publish a join cost.
Is the MedStands fee a commission or a percentage?
No. It is a fixed marketing fee set in advance by medication category, a flat per-category amount that does not move with the price of a sale. That is different from the percentage models at TeleWellnessMD, MangoRx, or SoWell.
Ready to earn every month, not just once?
If you want a payout that repeats for the life of the customer instead of a single bounty, MedStands is built for exactly that. Creators and individuals can start with the MedStands affiliate program, businesses that want to refer from a storefront or waiting room can look at the partner program, and you can see who it fits by field on partner programs by industry. Still deciding between the two paths? Partner vs affiliate: which program fits breaks it down.
Competitor program terms are as of July 2026 and come from each brand's published affiliate information. Programs change, so check their current terms.